IL-17 produced by Paneth cells drives TNF-induced shock

J Exp Med. 2008 Aug 4;205(8):1755-61. doi: 10.1084/jem.20080588. Epub 2008 Jul 28.

Abstract

Tumor necrosis factor (TNF) has very potent antitumor activity, but it also provokes a systemic inflammatory response syndrome that leads to shock, organ failure, and death. Here, we demonstrate that interleukin (IL)-17, a proinflammatory cytokine known to be produced mainly by activated T cells, has a critical role in this process. Antiserum against IL-17 or deletion of Il17r protected mice against a lethal TNF challenge. Serum levels of TNF-induced IL-6 and nitric oxide metabolites were significantly reduced in mice deficient in the IL-17R. TNF-induced leukocyte influx in the small intestine was reduced, and there was no injury to the small intestine. Surprisingly, electron microscopy showed that IL-17 was constitutively present in Paneth cells of the crypts. Upon TNF challenge, the intracellular pool of IL-17 in these cells was drastically reduced, suggesting rapid release of IL-17 from the granules of Paneth cells. Our findings assign a novel role for IL-17 in an acute inflammation and identify Paneth cells as a source of the IL-17 that plays a role in this process. These data indicate that innate immune cytokine responses in the local mucosa may participate in rapidly amplifying responses to systemic inflammatory challenges.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies / administration & dosage
  • Inflammation Mediators / metabolism
  • Interleukin-17 / antagonists & inhibitors
  • Interleukin-17 / biosynthesis*
  • Interleukin-6 / blood
  • Jejunum / drug effects
  • Jejunum / pathology
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Neutralization Tests
  • Nitric Oxide / blood
  • Paneth Cells / drug effects*
  • Paneth Cells / pathology
  • Paneth Cells / physiology*
  • Rabbits
  • Receptors, Interleukin-17 / deficiency
  • Receptors, Interleukin-17 / genetics
  • Recombinant Proteins / toxicity
  • Shock / etiology*
  • Shock / pathology
  • Shock / physiopathology
  • Shock / prevention & control
  • Systemic Inflammatory Response Syndrome / etiology
  • Systemic Inflammatory Response Syndrome / pathology
  • Systemic Inflammatory Response Syndrome / physiopathology
  • Systemic Inflammatory Response Syndrome / prevention & control
  • Tumor Necrosis Factor-alpha / toxicity*

Substances

  • Antibodies
  • Inflammation Mediators
  • Interleukin-17
  • Interleukin-6
  • Receptors, Interleukin-17
  • Recombinant Proteins
  • Tumor Necrosis Factor-alpha
  • Nitric Oxide